Inspection on 13/10/05 for Strode Park Foundation (Coach House)

This inspection was carried out on 13th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Strode Park Foundation (Coach... 10/07/06

Strode Park Foundation (Coach... 21/04/05

Strode Park Foundation (Coach... 10/11/04

Strode Park Foundation (Coach... 28/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Strode Park Coach House Strode Park Herne Bay Kent CT6 7NE Lead Inspector Kim Rogers Announced 13/10/05 at 09.50 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Strode Park Coach House Address Strode Park, Herne Bay, Kent, CT6 7NE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01227 373292 info@strodepark.org.uk Strode Park Foundation for Disabled People Mrs Zoe Lee Registered Care Home 8 Category(ies) of Learning Disabilities and Physical Disabilities registration, with number of places Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered to provide personal care and support to adults over 18 years who may have a physical and/or learning disability. Date of last inspection 21/04/05 Brief Description of the Service: The Coach House has been specially adapted for its present use. The home is spacious and set in the grounds of Strode Park. There are eight single rooms with a call bell system and TV point. Accomodation is set over two floors with a shaft lift accessing the first floor. All rooms and communal areas are suitable for wheelchair users. There is ample parking with mature gardens and extensive grounds. The Coach House aims to promote independence and develop life skills to enable students to live more independent lives. The Coach House provides an environment for the promotion of life skills and creative leisure activities for the young students. This enhances their self esteem and confidence to meet lifes challenges. When students develop their skills there is oppertunity to move to more independent living within the grounds of Strode Park. There is also a day centre on site. There are two units available in the grounds to develop skills further. The home is situated in village of Herne on a bus route. There are local pubs, shops and post office. The town of Herne Bay is about 2 miles away. Service users at the Coach House prefer to be known as students. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and carried out on a Thursday.The Inspector received a pre inspection questionnaire from the home, which was discussed during the visit. The Inspector received four comment cards from relatives. Most were positive about the home. Issues raised by relatives were discussed with the manager. 2 out of 4 relatives comment cards said that wheelchairs are not kept clean enough. The manager said she would address this issue. 4 out of 4 relatives said that they are welcomed into the home and can visit their relative in private. 3 out of 4 relatives said they are satisfied with the overall care provided. The Inspector spent time with a service user over lunch. A service user accompanied the Inspector around the home and showed the Inspector the ‘Clubhouse’ the physiotherapy room, the attached day centre, the gardens and the study room. The Inspector was able to speak to 2 service users in private about life at the Coach House. 7 comment cards were received from service users. Service users made positive comments about the service to the Inspector directly and through comment cards. All service users said they feel safe and well cared for. 2 service users said they would like to have a key to their room, which the manager said she would organise. Service users said they are happy with their bedrooms. One service user said they don’t mind sharing a bathroom with 2 others. 2 service users said they would like to have the opportunity to have a shower or bath in the morning as well as the evening. ‘The staff are lovely’ ‘I like my room’ ‘I cook my own supper and make my own toast’ The Inspector interviewed a member of staff and the manager in private. Staff said they like the friendly homelike atmosphere of the home and enjoy working at the Coach House. The Inspector looked at assessments and service user plans; spot checked some policies and looked at other records. Staff were talking to students in a positive respectful way. The Manager is very keen for students to develop their skills and move onto as independent a life as possible. The Manager spoke with understanding of students needs. This home was last inspected in April 2005. Please see the report of that visit for standards not inspected during this visit. The Inspector concentrated on the standards not inspected in April during this visit. This home has shown commitment to meeting National Minimum Standards. The requirements of the last inspection have been met. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 6 After speaking to service users, staff and the manager and making observations and reading records, the Inspector concluded that this home provides a good quality service. What the service does well: What has improved since the last inspection? What they could do better: Any changes made to the timings of medication administration should be made on the medication administration record and authorised by the presciber. Some policies need reviewing and more detail. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 7 Service users must have the opportunity to have a bath or shower when they prefer. The freezer in the training kitchen needs defrosting. Thought should be given about implementing person centred approaches to assessment and care planning. Aspirations must be assessed as well as needs. All areas of the home should be suitably fragranced. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,4 Service users have the information they need to make a decision about moving into this home. Service users can have trial visits before they make a decision to stay. EVIDENCE: The home has a Statement of Purpose and Service User guide. These documents are given to prospective service users so they can read about the facilities and services on offer. The manager may read through the information with service users if necessary. These documents are currently produced in written format. The manager said there are plans to develop more accessible formats for service users. Previous inspection reports are readily available at the home. Staff said they were aware of these reports. Admissions to this home are planned around service users needs. Trial visits can be day visits, overnight stays or weekend stays. The manager said a review would be held after about a month to see how the service user feels about the home. The manager and Inspector discussed the assessment tool used by the home. The current ‘application form’ is needs lead and quite clinical. The manager must ensure that aspirations are assessed. The manager agreed to develop the assessment tool to ensure it is person centred and aspirations are identified. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,8 Service users know their changing needs will be recognised and met. Service users are consulted about the running of the home. EVIDENCE: Each service user has an individual service user plan. The Inspector sampled service user plans. Plans are reviewed and updated regularly. The manager agreed that the plans are based on clinical needs. For example there were sections on ‘elimination, skin integrity and pain control’ These are important areas to assess and support, however, the manager agreed that the service user plans could be developed to be more focused on what life the person wants and their aspirations rather than focus on their needs. The manager has some information about person centred planning and essential lifestyle planning and hopes to introduce this to service users. Service users work with tutors about what things are important to them. This could be incorporated into individual plans. The Inspector observed lunch and some activities. Service users are supported to make decisions and choices. Service users said they chose the colour of their room, choose their own clothes, when to go to bed and what to eat etc. Service users are encouraged to take part in the day-to-day running of the home. The manager often has breakfast with service users and staff. The Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 11 foundation has a service user representative who is available to talk to and represents service users on the board. Service users said they attend student meetings when they discuss any issues about living at the Coach House. Service users told the Inspector about issues they had bought up at these meetings that the manager has subsequently resolved. The home employs an advocate. Service users were aware of the advocate and said they could talk to him about any problems. Staff were observed communicating effectively and positively with service users. Some staff have alternative communication skills. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,13,17 Service users know they will be supported to develop as an individual. Being part of the local community enhances Service users lives. Service users benefit from a healthy diet and think the food is good. EVIDENCE: A service user showed the Inspector around the site which includes the clubhouse where service users open ‘Nippy’s café’ every Friday morning. Service users and staff access ‘Nippy’s café’ and said the bacon rolls are delicious. Service users are currently working towards food hygiene certificates. One service user said she attends the local church with a friend. 2 service users sell programmes at Whitstable football club matches. Some service users attend local colleges or the on site day centre and computer centre. The Inspector observed an art class and cooking class in progress. Service users at this home are encouraged and supported to develop independent living skills. There is a training kitchen where service users can make their own drinks and snacks. Service users made the Inspector a hot drink and talked about how they have been developing cooking skills. Some Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 13 service users have been enabled to move to more independent living. Service users said there is lots going on and that they recently enjoyed an outing ‘to see some animals’. Some service users were on holiday when the Inspector visited. Service users said they go away on holiday every year. Service users said ‘I like going to the day centre on a Friday afternoon’ ‘ I enjoy music at the clubhouse’ ‘I like going to Nippy’s café’ The home is set in extensive grounds which house the ‘Theatre in the Park’ Members of the public as well as service users enjoy performances here. 2 comment cards received from service users stated that they would like to have keys to their bedroom. The manager said she would organise this. The Inspector spoke to the cook and observed lunch being served in the dining room. Service users take turns to serve the lunchtime meal and clear tables. The cook is aware of likes and dislikes and keeps a record of any alternatives served. Nutrition is monitored in service user plans. The menu is planned on a rolling basis with input from service users. Service users said they make their own breakfast and supper. The Inspector observed lunch. Staff and the manager eat together with service users. Service users were supported where necessary and given the time they need. Aids are provided where necessary and special diets are catered for. As mentioned there is a separate training kitchen where service users can make drinks and snacks. The Inspector noted that the freezer was very icy with some out of date food inside. The manager agreed to address this. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Service users must have the opportunity to choose when they have a bath or shower. EVIDENCE: Personal care needs are recorded in individual service user plans. Service users have wash hand basins in their rooms and said they did not mind sharing a bathroom. Service users said they are supported by staff who are respectful of their dignity when supporting with personal care. Service users said they generally have to have shower in the early evening when there is more staff on duty.2 service users said they would like to have the opportunity to have a shower in the morning rather than the evening. A requirement was made to enable service users to have the opportunity of choosing when they have a shower. Medication practices were not assessed in detail. The Inspector sampled the medication administration records, which are kept in individuals room next to locked medication cabinets. The individual locked cabinets in each bedroom are a change since the last inspection. There were no gaps in the records however; a change had been made to the administration time of a medication. No change had been made to the record and there was no authority recorded for the change. The manager agreed to address this. The manager said that some service users wish to control their own medication. Having locked cabinets in individual bedrooms is the first step Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 15 towards this. The manager has reviewed the medication policy to include this change to storage. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service users know who to complain to and know any complaints will be listened to and acted on. EVIDENCE: The home has a complaints procedure, which is displayed in the home and included in literature. Service users told the Inspector they would talk to Zoë, (the manager), Tony (the advocate) or staff if they had a complaint. Service users gave the Inspector examples of issues they have raised that have been addressed. A service user said ‘If I’m not happy I can talk to Zoë.’ The home has received no complaints since the last inspection. Regular meetings are held to enable service users to air their views. Service users said ‘ At meetings Zoë reads out old problems and writes our new problems down’ ‘We have meetings and talk about our problems’ The Inspector read the adult protection policy and recommended that signs of abuse be included and whom staff can report suspected abuse to be added. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,28,30 The home is comfortable and well maintained. Shared space meets service users needs. This home is clean and hygienic. EVIDENCE: Service users showed the Inspector their rooms, which are personalised, and individual. Service users said the shared space suits their needs. There is a lounge/diner and a training kitchen. The home was clean and orderly on the day of the visit. An odour was noted in 2 bedrooms. The manager said the staff have access to a carpet cleaner and will address the odour issue. Some improvements to the environment have been made since the last inspection including some redecoration. A walk in shower has been provided in one bathroom and a new sluice room has been created. Toilets and bathrooms are sited close to communal areas. One service user told the Inspector that there was a suitable bathroom close to their bedroom. One service user said that they were happy with their room and it suited their needs. Rooms are spacious and have adaptations and equipment to maintain and promote independence. All bedrooms are for single occupancy. Bedrooms are personalised. The home employs a maintenance man who addresses repairs and maintenance issues. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 18 Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,36 Service users know they will be supported by competent staff. Staff are supported by the manager and the organisation. EVIDENCE: The deputy manager has taken some responsibilities for the supervision of some staff since the last inspection. The manager said she meets on a one to one basis with staff regularly. Staff meetings and senior meetings are also held. Staff have yearly appraisals. Staff said the manager is approachable and will listen to their views and suggestions. Staff said ‘this is a nice place to work’ ‘Zoë will listen to us’ The manager said that 7 out of 25 staff have completed the National Vocational Qualification (NVQ) in care at level 2 or above. 8 more staff have registered to start the award and 2 are working towards the award. The Deputy manager is working towards a management qualification. The organisation employs a training manager and human resources manager who facilitate some training. Other training is accessed from external providers. Staff complete a detailed induction. Learning disability awareness has been included since the last inspection. There are 42 staff in total. 5 staff are relief or bank staff who cover any shortfalls. There is usually 2 staff on duty with a third staff between 7am to Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 20 8am and 5pm to 9pm. The manager and deputy are extra to this. The home has an administrator, a cook, kitchen assistant and 2 cleaners. The Inspector observed positive respectful interactions between staff and service users. A service user said ‘the staff are lovely’ Staff were seen encouraging service users to do as much for themselves as possible. Service users said the staff are kind and caring. Staff files have been audited as required at a previous inspection. Staff said they have a contract and job description. These were also seen in staff files. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,40,42 Service users know their views about the home will be listened to and acted on Some policies and procedures need reviewing to ensure service users are protected. Service users know their health and safety is protected. EVIDENCE: Several forums enable service users to give their views of the home. Service users told the Inspector about suggestions they have made which were acted on. Service users said they could talk to Zoë or the advocate, Tony. Board members carry out monthly audits and a yearly quality review is carried out. The Inspector spot-checked some policies including recruitment and selection, volunteers, adult protection. Some shortfalls were noted for example the adult protection policy should include signs of abuse and the contact details of who staff can report to. Recruitment policy should include the short-listing criteria and interview procedure. The Inspector required that policies be reviewed and Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 22 updated where necessary. Staff and service users have access to the homes policies. The home employs a maintenance manager and maintenance staff who carry out or organise repairs and redecoration. The maintenance manager is responsible for carrying out health and safety checks around the home. The home is safe and well maintained. Staff attend health and safety training during their induction then on a rolling programme. This includes assisted movement and first aid. Some service users are working towards a food safety certificate. Accidents and incidents are recorded and reported as required. There is a business strategy for the home. The home has the required public liability insurance cover. Strode Park Coach House H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x 2 Standard No 11 12 13 14 15 16 17 4 x 3 x x x 2 Standard No 31 32 33 34 35 36 Score x 2 x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Strode Park Coach House Score 2 x 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 2 x 3 x H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard YA40 YA20 Regulation 12&17 13(2) Requirement Timescale for action 31/03/06 3. YA18 12(2) Policies must be reviewed and updated where necessary. Staff must administer medication 31/10/05 as prescribed unless there is authority for a change and the MAR is amended accordingly. Service users must have the 31/10/05 oppertunity to have a bath or shower when they prefer. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard YA30 YA32 YA17 YA6 YA1 YA30 Good Practice Recommendations All parts of the home should be suitably fragranced. At least 50 of staff should be qualified to NVQ level 2 by 2005. The freezer in the training kitchen should be defrosted. Person centred approaches should be implemented regarding assessment and care planning to ensure aspiations are assessed and supported. The foundation should develop documentation, especially care plans and information literature in more accessible formats. Wheelchairs should be kept clean. H56-H05 S23593 Strode Park Coach House V246503 AN 131005 Stage 4.doc Version 1.40 Page 25 Strode Park Coach House Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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